• Title/Summary/Keyword: Joint Replacement

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Surgical Treatment for Pathologic Fracture of Skeletal Metastatic Lesion of the Proximal Femur: Comparison of Clinical Outcomes for Prosthetic Joint Replacement and Osteosynthetic Fixation (근위 대퇴골에 발생한 전이성 골종양의 병적 골절의 수술적 치료: 종양대치 인공관절 치환술과 골절 고정술의 치료 성적 비교)

  • Shin, Duk-Seop;Kim, Ui-Sik;Kwak, Hae-Jun;Ko, Young-Jin
    • The Journal of the Korean bone and joint tumor society
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    • v.17 no.1
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    • pp.44-50
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    • 2011
  • Purpose: To compare clinical outcomes of the tumor prosthetic replacement and osteosynthetic fixation for pathologic fracture of skeletal metastatic lesion of the proximal femur. Materials and Methods: From 1994 May to 2009 May, medical records of 22 patients who underwent tumor prosthetic replacement with tumor resection (group 1) and 15 others (16 hips) who underwent osteosynthetic fixation without tumor resection (group 2) were reviewed. The mean age of overall patients were 59 (group 1) and 60 (group 2). Mean follow up periods were 23 and 11 months. The oncological and functional results were evaluated with Kaplan-Meier methods and Musculoskeletal Tumor Society (MSTS) scoring system, 1993. The statistical evaluation was assessed with Log rank test and t-test. Results: The mean survival periods were 24 months in group 1 and 11months in group 2. The 1 year survival rates were 86% in group 1 and 50 % in group 2, and 2 year survival rates were 29.7% in group 1 and 9.4% in group 2. The mean MSTS functional score were 26.4 (19-30), 87.9% in group 1 and 15.3 (10-23), 51.0% in group 2. Conclusion: The results of tumor resection and prosthetic replacement in selected cases was better than osteosynthetic fixation without tumor resection for metastatic bone tumors around proximal femur in oncological and functional aspects.

Development of real-time wireless data measurement technique on Centrifugal experiment (원심모형 실험기의 실시간 무선데이터 측정시스템 구축)

  • Lee, Jong-Pil;Kim, You-Seok;Park, Jin-Woo
    • Proceedings of the Korean Geotechical Society Conference
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    • 2010.09a
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    • pp.1289-1293
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    • 2010
  • A slipring or FORJ are usually adopted in order for power supply of Geo-centrifuge and input/output data acquisition. Since using slipring causes quite a lot electrical noise, an optical communication using FORJ becomes more general for data acquisition. Such data acquisition devices, however, require frequent maintenance and replacement due to deterioration by long term usage. DICT has set up a real-time wireless date acquisition system using wireless communication technology instead of FORJ. The system enables a remote measurement at any inertial acceleration field up to 100g level and provides as same performance as FORJ. The priority of this system is to use a normal modem substituting a special FORJ.

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Mechanical Failure of Kotz Prosthetic Replacement for Osteosarcoma - A Case Report - (골육종에 시행한 Kotz prosthesis의 역학적 실패 - 증례 보고 -)

  • Cho, Duck-Yun;Kim, Hee-Chun;Shim, Myoun-Bo
    • The Journal of the Korean bone and joint tumor society
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    • v.2 no.1
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    • pp.101-105
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    • 1996
  • Prosthetic reconstruction of musculoskeletal defects about the knee for tumor has many advantages, particularly the maintenance of motion and immediate functional restoration. But, prosthetic reconstruction has inherent limitations in terms of long-term durability. The authors have reported here a patient who had mechanical failure at 61 months later following use of a modular resection system to reconstruct the segmental defect of proximal tibia in osteosarcoma. In this case, another technique of extensor mechanism reconstruction using Achilles tendon allograft was attempted. Because of the concerns involving durability of tumor prosthesis, increased emphasis has to be placed on innovation in prosthetic design.

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Effect of Crystalline Lameliar Orientation on the Creep and Wear of Ultra-high Molecular Weight Polyethylene (초고분자량 폴리에틸렌 미세구조가 변형과 마모에 미치는 영향)

  • 이권용
    • Tribology and Lubricants
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    • v.14 no.3
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    • pp.46-50
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    • 1998
  • 초고분자량 폴리에틸렌(Ultra-High Molecular Weight Polyethylene)은 인공관절 라이너에 쓰이는 대표적 생체재료이다. 초고분자량 폴리에틸렌의 변형과 마모에 영향을 주는 인자에 대한 기본적 연구를 위하여 본 연구에서는 미세구조 결정상의 정도와 결정구조 방향성에 따른 초고분자량 폴리에틸렌의 크리프 변형 및 마모 특성의 연구를 행하였다. 압출 제작된 초고분자량 폴리에틸렌 봉(extruded UHMWPE rod)단면의 중앙(center)부분과 원주(periphery)부분으로부터 각각 직사각형 및 원통형의 시편을 제작하여 크리프 실험과 마모 실험을 실시하였다. 원주 시편의 크리프 변형율은 중앙 시편의 크리프 변형율보다 11%크며(p<0.05), 마모량도 원주 시편이 중앙 시편보다 두 배나 큰 것으로 (p<0.05)관측되었다. 이 결고달로부터 초고분자량 폴리에틸렌의 크리프 변형과 마모가 미세 결정구조 방향성에 영향을 받는 것으로 나타났다.

A Study on the Performance Characteristics for Recycled Parts of C. V. Joint in the Vehicles (자동차 중고재생 등속조인트의 성능특성에 관한 연구)

  • 박인송;조휘창
    • Transactions of the Korean Society of Automotive Engineers
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    • v.10 no.4
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    • pp.192-198
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    • 2002
  • There are genuine parts, non-genuine parts and recycled parts which can be replaced for the repair of damaged parts of crashed cars. It is the recent trend in korea that recycled C. V joints are more popular than the genuine parts fur repairing crashed cars due to the cost. Performance of recycled C. V. joints as replacement parts was tested and analysed in this study. To examine the durability of the recycled parts, the replaced C. V joints after repair were tested and analysed periodically. The results were showed that basic performance of the recycled parts was normal. However ball cage was more frequently damaged than genuine parts. We concluded that a standard test for recycled parts is required to get a safe and durable parts.

Shoulder Prosthesis Mechanics (인공 견관절 역학)

  • Jeong, Jin-Young
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.153-160
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    • 2010
  • Purpose: The goal of prosthetic replacement of the shoulder is the restoration of the normal anatomy of the joint. Materials and Methods: The physician should review the variations in normal anatomy because it does vary widely and the placement of the prosthetic needs to be modified to accommodate the variations. Results and Conclusion: Several factors including anatomic, prosthetic and surgical ones can lead to the best clinical results, and these are described.

Non-traumatic Avascular Necrosis of the Femoral Head (대퇴골두의 비외상성 무혈성 괴사)

  • Kim, Se-Dong
    • Journal of Yeungnam Medical Science
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    • v.16 no.1
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    • pp.1-9
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    • 1999
  • Avascular necrosis of the femoral head is a debilitating disease that leads to destruction of tho hip joint in patients who are in the third, fourth, or fifth decade of life. The total societal cost is so high because these patients are generally young, hold jobs, and have a considerable life expectancy. Therefore, we have to delay or eliminate the need for total hip replacement as possible as we can. The purpose of this review is to provide a current perspective of avascular necrosis of the femoral head.

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A Study on Construction Method for Joints between Old and New Concrete Deck Slabs (콘크리트 교량 바닥판 신구접합부의 시공방안에 관한 연구)

  • Paek Nak Seung;Choi Young Chul;Cha Soo Won;Oh Byung Hwan
    • Proceedings of the Korea Concrete Institute Conference
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    • 2005.11a
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    • pp.363-366
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    • 2005
  • When widening or repairing concrete deck slab, there is a joint inevitably. However, joining-construction method have following problem, that is the additional stress in existing part of bridge resulting from the specific process of joining-construction and the difference of amount of shrinkage between new and existing bridge. On this study, compared shrinkage stress of the direct joining construction method with the indirect joining construction method, and concluded the proper substitution rate of expansion cement. The rate of replacement was proper at $10\%$. but more than $15\%$, concrete had excessive expansion and weeker compressive strength. The time of placing closure concrete, considering the shinkage stresses and creep, was suitable in $45\~60$ days after placing the new concrete deck slab.

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Effect of crystalline lamellar orientation on the creep and wear of ultra-high molecular weight polyethylene (초고분자량 폴리에닐렌 미세구조가 변형과 마모에 미치는 영향)

  • 이권용
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 1998.10a
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    • pp.100-105
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    • 1998
  • 초고분자량 폴리에틸렌(Ultra-High Molecular Weight Polyethylene)은 인공관절 라이너에 쓰이는 대표적 생체재료이다. 초고분자량 폴리에틸렌의 변형과 마모에 영향을 주는 인자에 대한 기본적 연구를 위하여 본 연구에서는 미세구조 결정상의 정도와 결정구조 방향성에 따른 초고분자량 폴리에틸렌의 크리프 변형 및 마모 특성의 연구를 행하였다. 압출 제작된 초고분자량 폴리에틸렌 봉(extruded UHMWPE rod)단면의 중앙(center) 부분과 원주(periphery)부분으로부터 각각 직사각형 및 원통형의 시편을 제작하여 크리프 실험과 마모 실험을 실시하였다. 원주 시편의 크리프 변형율은 중앙 시편의 크리프 변형율보다 11% 크며 (p<0.05), 마모양도 원주 시편이 중앙 시편보다 두 배나 큰 것으로(p<0.05)관측되었다. 이 결과들로부터 초고분자량 폴리에틸렌의 크리프 변형과 마모가 미세 결정구조 방향성에 영향을 받는 것으로 나타났다.

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Automated Assembly Modeling using Kinematics Constraints (기구학적 구속조건을 이용한 자동 조립 모델링)

  • Kim Jae Seong;Kim Gwang Su
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2002.05a
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    • pp.272-279
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    • 2002
  • A common task in assembly modeling is the determination of the position and orientation of a set of components by solving the spatial relationships between them. Assembly models could be constructed at various levels of abstraction. They could be classified into component or geometry-level assembly models. The geometry-level assembly design approach using mating constraints such as against and fits is widely used in the commercial modelers, but it may be very tedious in some cases fur designer. In this paper, we propose a new method to construct an assembly model at the component-level by extracting joint mating features from the kinematics constraints specified between components. The assembly model constructed using the proposed method includes hierarchical and relational assembly models, component/sub-assembly positions and degrees of freedom information. The proposed method is more intuitive and natural way of assembly design and it guarantees the topological robustness of assembly modification such as component replacement and modification.

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